Active NPI
Jason Richard Pingel, O.D.
- Optometrist
- Mission, KS
National Provider Identifier
1063449189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1671
- Practice address
- 6120 Johnson Dr
Mission, KS 66202-3333 - Phone
- (913) 262-3937
- Fax
- (913) 262-3942
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1671 | KS | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 1671 | KS | |
| Pediatric Optometrist | 152WP0200X | 1671 | KS | |
| Sports Vision Optometrist | 152WS0006X | 1671 | KS |
Addresses
Primary practice location
6120 Johnson Dr
Mission, KS 66202-3333
Mailing address
6120 Johnson Dr
Mission, KS 66202-3333
Phone (913) 262-3937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200419080A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6120 Johnson Dr
Mission, KS 66202-3333
Phone (913) 262-3937
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1671 | KS | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pingel Family Eyecare, LLC | Optometrist | Current | Accepting new patients |
| Acuity Vision Center LLC | Optometrist | Past | Accepting new patients |
| Central Iowa Eye Associates, P.C. | Optometrist | Past | Accepting new patients |
| Dr. Brent T. Crandon & Dr. Elizabeth J. Crandon Optometrists PA | Optometrist | Past | Accepting new patients |
| Brill Eye Center LLC | Optometrist | Past | Accepting new patients |
Locations
1019 Massachusetts St
Lawrence, KS 66044
Phone (785) 843-0507
6120 Johnson Dr
Mission, KS 66202
Phone (913) 262-3937
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Mission, KS
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- Optometrist
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- NPI 1679123590
-
- Optometrist
- Mission, KS
- NPI 1720253271
-
- Optometrist
- Lawrence, KS
- NPI 1013124007
-
- Optometrist
- Des Moines, IA
- NPI 1871563213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1063449189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6120 JOHNSON DR",
"city": "MISSION",
"state": "KS",
"postal_code": "662023333",
"telephone_number": "913-262-3937",
"fax_number": "913-262-3942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6120 JOHNSON DR",
"city": "MISSION",
"state": "KS",
"postal_code": "662023333",
"telephone_number": "913-262-3937",
"fax_number": "913-262-3942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINGEL",
"first_name": "JASON",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KS",
"license": "1671",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "KS",
"license": "1671",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "KS",
"license": "1671",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "KS",
"license": "1671",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200419080A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mission, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.